Active NPI
Elizabeth Rodriguez
- Occupational Therapist
- Tonasket, WA
National Provider Identifier
1629647060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT61193884
- Practice address
- 203 S Western Ave
Tonasket, WA 98855-8803 - Phone
- (509) 486-3114
- NPI assigned
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | OT61193884 | WA | Primary |
Addresses
Primary practice location
203 S Western Ave
Tonasket, WA 98855-8803
Mailing address
203 S. Western Ave
C/O: Credentialing
Tonasket, WA 98855-8803
Phone (509) 486-3144
Other practice location 1
1706 Pickens Loop
Yakima, WA 98908-2050
Phone (509) 985-9518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT61193884 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients |
Locations
203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151
126 S Whitcomb Ave
Tonasket, WA 98855
Phone (509) 486-2151
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medicare Defined Swing Bed Hospital Unit
- Tonasket, WA
- NPI 1134281314
-
- Critical Access Hospital
- Tonasket, WA
- NPI 1164580700
-
- Medical Specialty Clinic/Center
- Tonasket, WA
- NPI 1750443834
-
- Rural Health Clinic/Center
- Tonasket, WA
- NPI 1811555931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1629647060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S. WESTERN AVE",
"address_2": "C/O: CREDENTIALING",
"city": "TONASKET",
"state": "WA",
"postal_code": "988558803",
"telephone_number": "509-486-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 S WESTERN AVE",
"city": "TONASKET",
"state": "WA",
"postal_code": "988558803",
"telephone_number": "509-486-3114"
}
],
"practiceLocations": [
{
"address_1": "1706 Pickens Loop",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989082050",
"country_code": "US",
"telephone_number": "509-985-9518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT61193884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tonasket, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.